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Home My WebLink About0146566-Plumbing (water heater) a) CITY OF OSHKOSH No 146566 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1027 KANSAS ST Owner LARRY R STENERSON Create Date 06/28/2011 Contractor J RASMUSSEN PLUMBING INC Category 411 - Residential -Water Heaters Plan Inspector Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs Lavatory San Sump /Pump FIr/Wst Sink Bidet Site Drain Misc. Toilet Water Softner Hand Sink Urinal Wait. St. Fixtures Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker Dishwasher Local Waste Sculry Sink Drink Ftn Int Grease Trap Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater 1 Use /Nature SFR / Replace gas water heater. * *debit acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1305450000 Valuation $650.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By (22.J Date 06/28/2011 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number 920 - 231 -1289 To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. 06/28/2011 06:00 9202311289 J RASMUSSEN PAGE 01/01 City Of 05hkosll il,gnttcri(M Services r.Avrslon p0 flax 1130 Oshkosh, WI 54943 -1130 Phone: (920)236 -5450 Pax: (920) 236 -5084 QT-27K-016 oN rHP U'ATER Plumbing Peirrnit Application 1 hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the performance of which al) parries hereto agree en aitd are bound by said statutes, • AppJication(s) and Fee(s) ca.n he brought to City Hall, Roam 205 or mailed to Inspection Services, PO Box 11,28, Oshkosh WI 54903 -1128. Commencing work without. permit(s) will result in fueg being doubled or $100.00 plus the normal permit fee, which ever is greater. OR ou ?re_q_.6.a.tJ2.g£grzr Da r 7.dai 7firtg i lze_ erm' _.,eiscqunl $11,r1- frl.'J.., Almi have_pdtg9ualc fu »d.r, _chzahlag ZL.N_ovl..l!! 1 his processed ibrort,. k yp jrr .ac U ** Advisory - For applicable projects, an Electrical Installation Veriftcation (EIV) form, signed by the Electrical Comittrarctor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit appllicatiion. Applications submitted without an EIV when such Is .required, will not be processed f o r r e m a r k Xssnaatce and will be returned for completion. ion. ca .boll Addrell8_ j 0 a _a � f`IS r..l _ i Value (Including Mot and materials) g `) ) O / ] t t r � / ti " - ' I I Owner , e IJ�f S 014 Contractor L it II `J 1.r J S ,c r ) P II r ,-/- C. ®Sllltllgle Family EiDiaplex 011,10111- Family ❑Rental r �Co>nnxearelr�claa! ❑lfl�rd,nsttril>,I Number of Fixtures: Bahl* „ „ SumpPmp Mister Si _— --.-„. Rrn�f taut Shower —_ Sat. Sump/Pump _._ Smiler)/ Sink _. _ _ S do Di, n. tp Whirlpool __. ---. Water S w,_._,_ Service Mink La�,�trAtty Standpipe —_ Coffee Mkr _ pip sec 9hamP Sink ,_ -- Site Train _ Toilet -- Garage )T1 _.. - Surgeons Sink — _ Waits Stn - - -- -•, _. Local Wrists w,_ _ _ - -- Kir Sink Stcrili7Cr .__._ lcc Own t)ispnsal _.._ Aar Sink - -_._ RP7•.Vit —_._._ Cnenm icy M ntcr _ C1inhwaahcr i;rcairrn Sink --- 13idd Int (parse Trap Floor Drain ClaatR 1 S ink _ tnintel ___ r i xt (3rts,yc Trap - ?Jose Bibb �� PNam Sink Rear Tap -- RyeWstth Stn Water beater - - - F_ F Prep Sink Dinner Well Dcdura Meter , V- , as I I F..Icct fl Pi rVnt Floor Sink ,,_,._ Think rim -- - -- C'lntheaCUshr - . Wit SctwrMtr __ Eland Sntk ,_ ,,,_ Was Pa tn Wit Linage Mir t ndry Tray r.n1, Sink .,.._..._ fatal %sin MisC Fixtures Electric Contractor (for projects not regluiring an EIV Form) ^ _ ____ �_._ - c f Nature of Work .12.1 1 F- e .t Ir'llrf Ef __.___...__...___ _. S[7e _ .., _ Material . Type # Conn, Type . Sanitary Sewer Storm Sewer Water Service pt,. /nn Received Time Jun. 28. 2011 6:43AM No. 6164 .